Safety » WC Forms
Obtain access to workers compensation forms for those states who provide them on their websites. The majority can be downloaded.
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14 Day Injury Report Form ![[pdf]](graphics/file_pdf.gif)
[34242] 
Example of a form to be completed when an injured employee has been off the job for 14 days due to the injury
[34242] Example of a form to be completed when an injured employee has been off the job for 14 days due to the injury
AK-Alaska - Workers Compensation Forms [6243]
Download Alaska workers compensation forms, first report of injury and more
Download Alaska workers compensation forms, first report of injury and more
AR-Arkansas - Workers Compensation Forms [1568]
Nearly 20 different workers compensation forms for the state of Arkansas may be downloaded
Nearly 20 different workers compensation forms for the state of Arkansas may be downloaded
AZ-Arizona - Workers Compensation Forms [10615]
Workers comp forms, self-insured forms, ADOSH forms and more
Workers comp forms, self-insured forms, ADOSH forms and more
CA-California - Self-insured WC Forms [4957]
Download workers compensation forms for the state of California self-insureds
Download workers compensation forms for the state of California self-insureds
CA-California - WC Forms in Numerical Order [4950]
Download physician and employer first report of injury forms, etc for the state of California
Download physician and employer first report of injury forms, etc for the state of California
CA-California - Workers Compensation Forms [10303]
Download a set of WC forms for the state of California
Download a set of WC forms for the state of California
CO-Colorado Questionable WC Claim Notice [34241]
Example of an attachment to First Notice of Loss when employer doubts injury has occurred
[34241] Example of an attachment to First Notice of Loss when employer doubts injury has occurred
CT-Connecticut - Workers Compensation Forms [3541]
Large number of forms from the Connecticut Workers Compensation Commission
Large number of forms from the Connecticut Workers Compensation Commission
DC-District of Columbia: Workers Compensation Forms [11036]
Download WC forms for public workers in the District of Columbia
Download WC forms for public workers in the District of Columbia
FL-Florida - Workers Compensation Forms [4959]
Download over 50 commonly used workers compensation forms for Florida
Download over 50 commonly used workers compensation forms for Florida
GA-Georgia - Workers Compensation Forms [6267]
Download a large number of workers compensation forms for the state of Georgia
Download a large number of workers compensation forms for the state of Georgia
GA-Georgia Subsequent Injury Trust Fund Claim Form [20036]
Download the claim form - also provides statutory filing requirements
Download the claim form - also provides statutory filing requirements
ID-Idaho - Workers Compensation Forms Used by the Industrial Commission [6251]
Download WC forms for the state of Idaho
Download WC forms for the state of Idaho
KS-Kansas - Workers Compensation Forms [3903]
Download a large number of WC forms for the state of Kansas
Download a large number of WC forms for the state of Kansas
KS-Kansas Self Insurance Forms [11205]
Download Kansas WC self-insurance application forms - spreadsheets
Download Kansas WC self-insurance application forms - spreadsheets
KY-Kentucky - Workers Compensation Forms [4966]
Download forms used for workers compensation in Kentucky
Download forms used for workers compensation in Kentucky
LA-Louisiana - Workers Compensation Forms & Instructions [7972]
Download WC forms for the state of Louisiana
Download WC forms for the state of Louisiana
MA-Massachusetts - Workers Compensation Forms [6259]
Download WC forms for the state of Massachusetts
Download WC forms for the state of Massachusetts
MI-Michigan - Workers Compensation Forms [5788]
Download WC forms, including the Employers Basic Report of Injury
Download WC forms, including the Employers Basic Report of Injury
MN-Minnesota Employee Information Sheet [15288]
effective Aug. 1, 2000, employers give this sheet to employee with 1st Report of Injury
effective Aug. 1, 2000, employers give this sheet to employee with 1st Report of Injury
MO-Missouri - Workers Compensation Forms [10080]
Download frequently used workers compensation forms
Download frequently used workers compensation forms
MS-Mississippi - Workers Compensation Commission Forms [11220]
Download forms currently in use by the Commission
Download forms currently in use by the Commission
MT-Montana - Workers Compensation Court Forms [10092]
Download legal forms for the Workers Compensation Court of Montana
Download legal forms for the Workers Compensation Court of Montana
NC-North Carolina - Workers Compensation Forms [4986]
Download forms required for workers compensation in North Carolina
Download forms required for workers compensation in North Carolina
NE-Nebraska: Workers Compensation Forms [3020]
Download forms related to workers compensation in Nebraska
Download forms related to workers compensation in Nebraska
NH-New Hampshire - Workers Compensation Forms [11234]
Download approximately 15 workers compensation forms for the state of New Hampshire
Download approximately 15 workers compensation forms for the state of New Hampshire
NJ-New Jersey - Workers Compensation Forms & Brochures [6286]
Download workers compensation forms for the state of New Jersey
Download workers compensation forms for the state of New Jersey
NM-New Mexico - Workers Compensation Forms [6288]
Download workers compensation forms for the state of New Mexico
Download workers compensation forms for the state of New Mexico
NY-New York - Workers Compensation Forms [4979]
Download commonly used forms required for WC in the state of New York
Download commonly used forms required for WC in the state of New York
NY-New York Independent Medical Examination (IME) Forms [15221]
Download IME forms for the state of New York
Download IME forms for the state of New York
OR-Oregon - Workers Compensation Forms [4984]
Download a very large number of workers compensation forms for Oregon
Download a very large number of workers compensation forms for Oregon
RI-Rhode Island - Workers Compensation Forms [16124]
Download WC forms for the State of Rhode Island
Download WC forms for the State of Rhode Island
SC-South Carolina Workers Compensation Forms [23170]
Download a series of workers compensation forms for the state of South Carolina
Download a series of workers compensation forms for the state of South Carolina
SD-South Dakota - Workers Compensation Forms [13521]
Download WC forms including First Report of Injury for South Dakota
Download WC forms including First Report of Injury for South Dakota
TN-Tennessee WC Forms [14401]
Download a series of workers compensation forms for the state of Tennessee
Download a series of workers compensation forms for the state of Tennessee
US Division of Coal Mine Workers' Compensation Forms - Black Lung [29025]
OWCP forms for federal workers to apply for workers compensation benefits under Black Lung benefits
OWCP forms for federal workers to apply for workers compensation benefits under Black Lung benefits
US Division of Energy Employees Occupational Illness Compensation Claims Forms [29026]
Claims forms for benefits under the Energy Employees Occupational Illness Compensation Program Act
Claims forms for benefits under the Energy Employees Occupational Illness Compensation Program Act
US Division of Federal Employees’ Compensation Forms [29023]
OWCP forms for federal workers to apply for workers compensation benefits
OWCP forms for federal workers to apply for workers compensation benefits
US Division of Longshore and Harbor Workers' Compensation Forms [29024]
OWCP forms for federal workers to apply for workers compensation benefits under Longshore benefits
OWCP forms for federal workers to apply for workers compensation benefits under Longshore benefits
VA-Virginia - Workers Compensation Commission Forms [13084]
Download WC forms for the state of Virginia - self-insurance forms, etc
Download WC forms for the state of Virginia - self-insurance forms, etc
WA-Washington - Electronic Filing of Quarterly Reports [10093]
File industrial insurance quarterly reports on-line
File industrial insurance quarterly reports on-line
WA-Washington - Workers Compensation Forms [3607]
Download state of Washington workers compensation forms
Download state of Washington workers compensation forms
WI-Wisconsin - Workers Compensation Forms [4803]
Access a variety of forms (e.g., first report of injury) related to workers compensation
Access a variety of forms (e.g., first report of injury) related to workers compensation
WV-West Virginia - Workers Compensation Forms [4782]
Download more than 50 different West Viriginia state WC forms - all in pdf format
Download more than 50 different West Viriginia state WC forms - all in pdf format
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